Predictors of hypertension remission and recurrence after bariatric surgery

BACKGROUND: Few data exist on factors associated with hypertension (HTN) remission post-bariatric surgery. No information on factors that may predict HTN relapse is available. The aims were to assess the HTN remission and relapse rates at 1 and 3 years, respectively, post-bariatric surgery, and dete...

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Autores: Benaiges Foix, David, Sagué Vilavella, Maria, Flores Le Roux, Juana Antonia, Pedro-Botet, Juan, Ramón Moros, José Manuel, Villatoro Moreno, Montserrat, Chillarón Jordan, Juan José, Pera Román, Manuel, Más-Lorenzo, Antonio, Grande Posa, Luís, Goday Arnó, Albert
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/26238
Acceso en línea:http://hdl.handle.net/10230/26238
http://dx.doi.org/10.1093/ajh/hpv153
Access Level:acceso abierto
Palabra clave:Obesitat -- Cirurgia
Pressió sanguínia
Hipertensió
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spelling Predictors of hypertension remission and recurrence after bariatric surgeryBenaiges Foix, DavidSagué Vilavella, MariaFlores Le Roux, Juana AntoniaPedro-Botet, JuanRamón Moros, José ManuelVillatoro Moreno, MontserratChillarón Jordan, Juan JoséPera Román, ManuelMás-Lorenzo, AntonioGrande Posa, LuísGoday Arnó, AlbertObesitat -- CirurgiaPressió sanguíniaHipertensióBACKGROUND: Few data exist on factors associated with hypertension (HTN) remission post-bariatric surgery. No information on factors that may predict HTN relapse is available. The aims were to assess the HTN remission and relapse rates at 1 and 3 years, respectively, post-bariatric surgery, and determine predictive factors. METHODS: A nonrandomized prospective cohort study on severely obese patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) with a follow-up of 36 months was conducted between 2005 and 2011. Criteria for HTN diagnosis were current treatment with antihypertensive agents and/or systolic blood pressure (BP) >140mm Hg and/or diastolic BP >90mm Hg. HTN remission was defined as normalization of BP maintained after discontinuation of medical treatment. RESULTS: A total of 197 patients were included in the study. HTN was present in 47.7%; 68.1% of hypertensive patients showed HTN remission 1 year after the surgical procedure, 21.9% of whom had relapsed at 3 years. The number of antihypertensive drugs prior to surgery was associated with a lower remission rate at the first year and a higher recurrence at 3 years. However, a smaller weight loss during the first year was associated with increased HTN recurrence at 3 years. CONCLUSION: HTN relapses in 1 of 5 hypertensives who have achieved remission at the first year of follow-up. Weight loss during the first postoperative year should be encouraged to avoid HTN relapse at 3 years.Oxford University Press20162016info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/26238http://dx.doi.org/10.1093/ajh/hpv153reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésAmerican Journal of Hypertension. 2016 May;29(5):653-9© Oxford University Press. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in American Journal of Hypertension following peer review. The definitive publisher-authenticated version Benaiges D, Sagué M, Flores-Le Roux JA, Pedro-Botet J, Ramón JM4, Villatoro M. et al. Predictors of hypertension remission and recurrence after bariatric surgery. Am J Hypertens. 2016 May;29(5):653-9. doi: 10.1093/ajh/hpv153] is available online at: http://dx.doi.org/10.1093/ajh/hpv153info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/262382026-06-12T07:21:37Z
dc.title.none.fl_str_mv Predictors of hypertension remission and recurrence after bariatric surgery
title Predictors of hypertension remission and recurrence after bariatric surgery
spellingShingle Predictors of hypertension remission and recurrence after bariatric surgery
Benaiges Foix, David
Obesitat -- Cirurgia
Pressió sanguínia
Hipertensió
title_short Predictors of hypertension remission and recurrence after bariatric surgery
title_full Predictors of hypertension remission and recurrence after bariatric surgery
title_fullStr Predictors of hypertension remission and recurrence after bariatric surgery
title_full_unstemmed Predictors of hypertension remission and recurrence after bariatric surgery
title_sort Predictors of hypertension remission and recurrence after bariatric surgery
dc.creator.none.fl_str_mv Benaiges Foix, David
Sagué Vilavella, Maria
Flores Le Roux, Juana Antonia
Pedro-Botet, Juan
Ramón Moros, José Manuel
Villatoro Moreno, Montserrat
Chillarón Jordan, Juan José
Pera Román, Manuel
Más-Lorenzo, Antonio
Grande Posa, Luís
Goday Arnó, Albert
author Benaiges Foix, David
author_facet Benaiges Foix, David
Sagué Vilavella, Maria
Flores Le Roux, Juana Antonia
Pedro-Botet, Juan
Ramón Moros, José Manuel
Villatoro Moreno, Montserrat
Chillarón Jordan, Juan José
Pera Román, Manuel
Más-Lorenzo, Antonio
Grande Posa, Luís
Goday Arnó, Albert
author_role author
author2 Sagué Vilavella, Maria
Flores Le Roux, Juana Antonia
Pedro-Botet, Juan
Ramón Moros, José Manuel
Villatoro Moreno, Montserrat
Chillarón Jordan, Juan José
Pera Román, Manuel
Más-Lorenzo, Antonio
Grande Posa, Luís
Goday Arnó, Albert
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Obesitat -- Cirurgia
Pressió sanguínia
Hipertensió
topic Obesitat -- Cirurgia
Pressió sanguínia
Hipertensió
description BACKGROUND: Few data exist on factors associated with hypertension (HTN) remission post-bariatric surgery. No information on factors that may predict HTN relapse is available. The aims were to assess the HTN remission and relapse rates at 1 and 3 years, respectively, post-bariatric surgery, and determine predictive factors. METHODS: A nonrandomized prospective cohort study on severely obese patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) with a follow-up of 36 months was conducted between 2005 and 2011. Criteria for HTN diagnosis were current treatment with antihypertensive agents and/or systolic blood pressure (BP) >140mm Hg and/or diastolic BP >90mm Hg. HTN remission was defined as normalization of BP maintained after discontinuation of medical treatment. RESULTS: A total of 197 patients were included in the study. HTN was present in 47.7%; 68.1% of hypertensive patients showed HTN remission 1 year after the surgical procedure, 21.9% of whom had relapsed at 3 years. The number of antihypertensive drugs prior to surgery was associated with a lower remission rate at the first year and a higher recurrence at 3 years. However, a smaller weight loss during the first year was associated with increased HTN recurrence at 3 years. CONCLUSION: HTN relapses in 1 of 5 hypertensives who have achieved remission at the first year of follow-up. Weight loss during the first postoperative year should be encouraged to avoid HTN relapse at 3 years.
publishDate 2016
dc.date.none.fl_str_mv 2016
2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/26238
http://dx.doi.org/10.1093/ajh/hpv153
url http://hdl.handle.net/10230/26238
http://dx.doi.org/10.1093/ajh/hpv153
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv American Journal of Hypertension. 2016 May;29(5):653-9
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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